[Superficial bladder cancer: Transurethral resection and instillation therapy]

Area of Science:

• Urology
• Oncology
• Surgical Technology

Context:

• Bladder cancer incidence is increasing in developed nations, particularly among men, ranking as the fifth most common cancer.
• Surface-growing bladder tumors, comprising 80% of cases, are amenable to endoscopic removal via transurethral resection (TUR-B).
• Advancements in endoscopic equipment, including video imaging and bipolar resection (TURIS), have improved the safety of these procedures.

Purpose:

• To review the efficacy and safety of endoscopic transurethral resection (TUR-B) for bladder tumors.
• To highlight the benefits of modern techniques like transurethral resection in saline (TURIS) in improving patient outcomes.
• To discuss potential intra- and postoperative complications associated with transurethral electrosurgery of bladder tumors.

Summary:

• Transurethral resection (TUR-B) is a primary treatment for superficial bladder tumors, which constitute the majority of cases.
• Modern endoscopic techniques, such as transurethral resection in saline (TURIS), offer enhanced safety profiles due to technological improvements.
• Despite advancements, the risk of complications during and after transurethral electrosurgery for bladder tumors remains a consideration.

Impact:

• Improved understanding of current bladder cancer treatment modalities.
• Guidance on selecting appropriate endoscopic techniques for bladder tumor resection.
• Awareness of potential risks and complications, facilitating better patient management and informed consent.